Information Collection Request

Examination for Housebound Status or Permanent Need for Regular Aid and Attendance (VA Form 21-2680)

ICR 202111-2900-009 · OMB 2900-0721 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 21-2680 Examination for Housebound Status or Permanent Need for Regular Aid and Attendance (VA Form 21-2680) Form Modified Repair queued
2023-00592, 30-Day FRN (VAF21-2680).pdf Supplementary Document Uploaded 2023-01-17 Missing upstream
2022-24377, 60-Day FRN (VAF21-2680).pdf Supplementary Document Uploaded 2023-01-17 Repair queued
2900-0721, Supporting Statement (VAF21-2680).docx Supporting Statement A Uploaded 2023-01-17 Repair queued
IC Document Collections
ICR Details
StatusReceived in OIRA
Agency/SubagencyVA
OMB Control No2900-0721
Type of Information CollectionReinstatement with change of a previously approved collection
Previous ICR Reference No201712-2900-007
Agency Tracking NoVBA-COMP-NK
Date Submitted to OIRA1969-12-31
Requested Expiration Date1969-12-31